Physician Compare National (NPI:1972770204)

HEALTHCARE PROVIDER: SRIDHAR PINNAMANENI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972770204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113091463
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080804000647
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PINNAMANENI
	Individual professional last name
Provider First Name	SRIDHAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PHYSICAL MEDICINE AND REHABILITATION
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PAIN AND SPINE CENTERS OF FLORIDA LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2769657972
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8136 CENTRALIA CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	LEESBURG
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	347883757
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3523437246
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100057
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FLORIDA HOSPITAL WATERMAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y